Religious Eductation Registration Form

Please fill out this registration form and submit. Thank you for your time we look forward to seeing you soon.

Religious Education Registration
Student's Name
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Mailing Address
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Date of Birth //
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Religious Education Grade Level
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Student's Father
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Student's Mother
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Daytime Phone --
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Phone -- ext
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Alternate Contact
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Relatioinship
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Phone -- ext
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Please state any extreme Health problems (Allergies, etc.) and or learning disabilities that your child may have:
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Please Complete the information below
Please mark which Sacraments the student has already received
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Name of Church Where Baptized
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Year Baptized  
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Address of the Church Baptized
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Payment
Book Donation Fee $15-One Child $25-Family